Document Detail

Massive pulmonary embolization by cerebral tissue after head trauma in an adult male.
MedLine Citation:
PMID:  16936509     Owner:  NLM     Status:  MEDLINE    
We report a case of an adult man who was run over by a car, suffering severe head trauma. After 3 hours in the hospital, he experienced sudden and severe hemodynamic deterioration, dying immediately. The autopsy showed massive cerebral tissue pulmonary embolization (CTPE), confirmed by immunohistochemistry. Multiple fractures of the skull, tear of the transverse sinus, and brain laceration of the occipital lobe were present. CTPE is very infrequent. In children and adults, it occurs as a complication of severe closed or penetrating head trauma. Although laceration of a large cerebral venous sinus is not always essential, in some cases (like in the present one) this laceration is the mechanism of entry of the cerebral tissue to the blood circulation. The clinical repercussion of CTPE is variable. In some cases, it could be an incidental finding of autopsy. In other cases, coagulation abnormalities and disseminated intravascular coagulation have been reported. Finally, such as in the present case, the immediate cause of death is the sudden hemodynamic failure due to the massive CTPE.
Benito Morentin; Begoña Biritxinaga
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of forensic medicine and pathology     Volume:  27     ISSN:  0195-7910     ISO Abbreviation:  Am J Forensic Med Pathol     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-28     Completed Date:  2006-12-08     Revised Date:  2011-02-02    
Medline Journal Info:
Nlm Unique ID:  8108948     Medline TA:  Am J Forensic Med Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  268-70     Citation Subset:  IM    
Section of Pathology, Forensic Pathology Service, Basque Institute of Legal Medicine, Bilbao, Bizkaia, Spain.
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MeSH Terms
Accidents, Traffic
Craniocerebral Trauma / complications,  pathology*
Fatal Outcome
Forensic Pathology
Lung / pathology
Middle Aged
Pulmonary Embolism / etiology,  pathology*

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